Smart Start Early Intervention, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SMART START EARLY INTERVENTION, LLC

Practice address

2275 Salem Rd
Bennettsville, SC 29512-8441

Phone

(843) 439-7305

Fax

(843) 528-1717

NPI assigned

May 10, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jamie Leigh Mumford

Title

Owner

Phone

(843) 439-7305

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1235795675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 SALEM RD",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295128441",
            "telephone_number": "843-439-7305",
            "fax_number": "843-528-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SALEM RD",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295128441",
            "telephone_number": "843-439-7305",
            "fax_number": "843-528-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART START EARLY INTERVENTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "MUMFORD",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-439-7305"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Self, MSW
• Lauren Ashley Simmons, LPCA
• William Quincey Sims, CRNA
• Naida Liana Singleton, DMD
• Tuangporn Sittisuntorn
• Thomas Byron Smith, M.ED.
• Tiffany Dawn Solter, MA
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• South Carolina CVS Pharmacy LLC
• South Carolina Department of Juvenile Justice

• Early Intervention Provider Agency in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Early Intervention Provider Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.